Excludes1 pair

A07.8 vs B60-

A07.8 and B60 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on B60
intestinal microsporidiosis (A07.8)
A07.8

Other specified protozoal intestinal diseases

BillableUnspecified
Chapter 1
Certain infectious and parasitic diseases
Section
A00-A09
Use when the record says
  • Intestinal microsporidiosis
  • Intestinal trichomoniasis
  • Sarcocystosis
  • Sarcosporidiosis
Indexed under
  • Chilomastigiasis
  • Embadomoniasis
  • Retortamoniasis
  • Sarcocystosis
  • Sarcosporidiosis (intestinal)
B60

Other protozoal diseases, not elsewhere classified

Not billable
Chapter 1
Certain infectious and parasitic diseases
Section
B50-B64

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027